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a. Oral
b. Axillary
c. Radial
d. Heat sensitive tape
a. Tachypnea
b. Hyper pyrexia
c. Arrythmia
d. Tachycardia
Which of the following actions should the nurse take to use a wide
base support when assisting a client to get up in a chair?
a. Bend at the waist and place arms under the client’s arms and lift
b. Face the client, bend knees and place hands on client’s
forearm and lift
c. Spread his or her feet apart
d. Tighten his or her pelvic muscles
a. Fowler’s position
b. Side lying
c. Supine
d. Trendelenburg
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
a. Assessment
b. Nursing Process
c. Diagnosis
d. Implementation
a. Kidney
b. Lungs
c. Liver
d. Heart
The Chamber of the heart that receives oxygenated blood from
the lungs is the?
a. Left atrium
b. Right atrium
c. Left ventricle
d. Right ventricle
A muscular enlarge pouch or sac that lies slightly to the left which
is used for temporary storage of food…
a. Gallbladder
b. Urinary bladder
c. Stomach
d. Lungs
a. Hormones
b. Secretion
c. Immunity
d. Glands
a. Progesterone
b. Testosterone
c. Insulin
d. Hemoglobin
a. Lens
b. Sclera
c. Cornea
d. Pupils
a. Chronic Illness
b. Acute Illness
c. Pain
d. Syndrome
a. Family
b. Illness
c. Community
d. Nursing
a. 30 ml
b. 25 ml
c. 12 ml
d. 22 ml
a. 1.8
b. 18000
c. 180
d. 2800
a. µgtt
b. gtt
c. mdr
d. mgts
a. When advice
b. Immediately
c. When necessary
d. Now
a. 15
b. 60
c. 10
d. 30
a. 2
b. 20
c. 2000
d. 20000
a. 8
b. 80
c. 800
d. 8000
The nurse must verify the client’s identity before administration
of medication. Which of the following is the safest way to identify
the client?
a. Intramuscular
b. Intradermal
c. Subcutaneous
d. Intravenous
a. Bed bath
b. Bed making
c. Bed shampoo
d. Bed lining
a. Inspection
b. Palpation
c. Percussion
d. Auscultation
a. Palpation
b. Auscultation
c. Percussion
d. Inspection
a. Palpation
b. Auscultation
c. Inspection
d. Percussion
a. Percussion-hammer
b. Audiometer
c. Stethoscope
d. Sphygmomanometer
a. Gait
b. Range of motion
c. Flexion and extension
d. Hopping
The nurse asked the client to read the Snellen chart. Which of the
following is tested:
a. Optic
b. Olfactory
c. Oculomotor
d. Troclear
Another name for knee-chest position is:
a. Genu-dorsal
b. Genu-pectoral
c. Lithotomy
d. Sim’s
The most appropriate nursing order for a patient who develops dyspnea
and shortness of breath would be…
The nurse observes that Mr. Adams begins to have increased difficulty
breathing. She elevates the head of the bed to the high Fowler position,
which decreases his respiratory distress. The nurse documents this
breathing as:
a. Tachypnea
b. Eupnca
c. Orthopnea
d. Hyperventilation
Mrs. Mitchell has been given a copy of her diet. The nurse discusses the
foods allowed on a 500-mg low sodium diet. These include:
a. A ham and Swiss cheese sandwich on whole wheat bread
b. Mashed potatoes and broiled chicken
c. A tossed salad with oil and vinegar and olives
d. Chicken bouillon
The four main concepts common to nursing that appear in each of the
current conceptual models are:
a. Love
b. Elimination
c. Nutrition
d. Oxygen
The family of an accident victim who has been declared brain-dead seems
amenable to organ donation. What should the nurse do?
a. Discourage them from making a decision until their grief has eased
b. Listen to their concerns and answer their questions honestly
c. Encourage them to sign the consent form right away
d. Tell them the body will not be available for a wake or funeral
A new head nurse on a unit is distressed about the poor staffing on the 11
p.m. to 7 a.m. shift. What should she do?
Which of the following principles of primary nursing has proven the most
satisfying to the patient and nurse?
a. Continuity of patient care promotes efficient, cost-effective nursing care
b. Autonomy and authority for planning are best delegated to a nurse who
knows the patient well
c. Accountability is clearest when one nurse is responsible for the overall
plan and its implementation.
d. The holistic approach provides for a therapeutic relationship,
continuity, and efficient nursing care.
If patient asks the nurse her opinion about a particular physicians and the
nurse replies that the physician is incompetent, the nurse could be held
liable for:
a. Slander
b. Libel
c. Assault
d. Respondent superior
a. Defamation
b. Assault
c. Battery
d. Malpractice
Which of the following signs and symptoms would the nurse expect to find
when assessing an Asian patient for postoperative pain following
abdominal surgery?
a. Prone
b. Trendelenburg
c. Supine
d. Side-lying
a. Genupecterol
b. Sims
c. Horizontal recumbent
d. All of the above
During a Romberg test, the nurse asks the patient to assume which
position?
a. Sitting
b. Standing
c. Genupectoral
d. Trendelenburg
a. 54
b. 96
c. 150
d. 246
A patient is kept off food and fluids for 10 hours before surgery. His oral
temperature at 8 a.m. is 99.8 F (37.7 C) This temperature reading
probably indicates:
a. Infection
b. Hypothermia
c. Anxiety
d. Dehydration
a. Rate
b. Rhythm
c. Symmetry
d. All of the above
A 38-year old patient’s vital signs at 8 a.m. are axillary temperature 99.6 F
(37.6 C); pulse rate, 88; respiratory rate, 30. Which findings should be
reported?
a. Fever
b. Exercise
c. Sympathetic nervous system stimulation
d. Parasympathetic nervous system stimulation
Palpating the midclavicular line is the correct technique for assessing
a. Apical
b. Radial
c. Pedal
d. Femoral
a. Thiamine
b. Riboflavin
c. Pyridoxine
d. Pantothenic acid
A male patient who had surgery 2 days ago for head and neck cancer is
about to make his first attempt to ambulate outside his room. The nurse
notes that he is steady on his feet and that his vision was unaffected by
the surgery. Which of the following nursing interventions would be
appropriate?
Mrs. Lim begins to cry as the nurse discusses hair loss. The best response
would be:
a. Infancy
b. Young adulthood
c. Childhood
d. Pregnancy
a. Lethargy
b. Increased pulse rate and blood pressure
c. Muscle weakness
d. Muscle irritability
Studies have shown that about 40% of patients fall out of bed despite the
use of side rails; this has led to which of the following conclusions?
a. Depression
b. Sleep disturbances (such as bizarre dreams)
c. Inability to concentrate
d. Decreased appetite
a. Parkinson’s disease
b. Multiple sclerosis
c. Amyotrophic lateral sclerosis (Lou Gerhig’s disease)
d. Alzheimer’s disease
a. Host
b. Reservoir
c. Mode of transmission
d. Portal of entry
a. 30 seconds
b. 1 minute
c. 2 minute
d. 3 minutes
a. Using sterile forceps, rather than sterile gloves, to handle a sterile item
b. Touching the outside wrapper of sterilized material without sterile gloves
c. Placing a sterile object on the edge of the sterile field
d. Pouring out a small amount of solution (15 to 30 ml) before pouring the
solution into a sterile container
A natural body defense that plays an active role in preventing infection is:
a. Yawning
b. Body hair
c. Hiccupping
d. Rapid eye movements
All of the following statement are true about donning sterile gloves
except:
a. The first glove should be picked up by grasping the inside of the cuff.
b. The second glove should be picked up by inserting the gloved fingers
under the cuff outside the glove.
c. The gloves should be adjusted by sliding the gloved fingers under the
sterile cuff and pulling the glove over the wrist
d. The inside of the glove is considered sterile
When removing a contaminated gown, the nurse should be careful that the
first thing she touches is the:
a. Cap all used needles before removing them from their syringes
b. Discard all used uncapped needles and syringes in an
impenetrable protective container
c. Wear gloves when administering IM injections
d. Follow enteric precautions
Which of the following white blood cell (WBC) counts clearly indicates
leukocytosis?
a. 4,500/mm³
b. 7,000/mm³
c. 10,000/mm³
d. 25,000/mm³
a. Hypokalemia
b. Hyperkalemia
c. Anorexia
d. Dysphagia
The most appropriate time for the nurse to obtain a sputum specimen for
culture is:
All of the following nursing interventions are correct when using the Z-
track method of drug injection except:
The correct method for determining the vastus lateralis site for I.M.
injection is to:
a. Locate the upper aspect of the upper outer quadrant of the buttock about
5 to 8 cm below the iliac crest
b. Palpate the lower edge of the acromion process and the midpoint lateral
aspect of the arm
c. Palpate a 1” circular area anterior to the umbilicus
d. Divide the area between the greater femoral trochanter and the
lateral femoral condyle into thirds, and select the middle third on
the anterior of the thigh
The mid-deltoid injection site is seldom used for I.M. injections because it:
a. 20G
b. 22G
c. 25G
d. 26G
a. IM injection or an IV solution
b. IV or an intradermal injection
c. Intradermal or subcutaneous injection
d. IM or a subcutaneous injection
a. 0.6 mg
b. 10 mg
c. 60 mg
d. 600 mg
a. 5 gtt/minute
b. 13 gtt/minute
c. 25 gtt/minute
d. 50 gtt/minute
a. Hemoglobinuria
b. Chest pain
c. Urticaria
d. Distended neck veins
a. Fever
b. Chronic Obstructive Pulmonary Disease
c. Renal Failure
d. Dehydration
All of the following are common signs and symptoms of phlebitis except:
The best way of determining whether a patient has learned to instill ear
medication properly is for the nurse to:
a. Tolerance
b. Idiosyncrasy
c. Synergism
d. Allergy
A patient has returned to his room after femoral arteriography. All of the
following are appropriate nursing interventions except:
a. Assess femoral, popliteal, and pedal pulses every 15 minutes for 2 hours
b. Check the pressure dressing for sanguineous drainage
c. Assess a vital signs every 15 minutes for 2 hours
d. Order a hemoglobin and hematocrit count 1 hour after the
arteriography
a. Upper GI bleeding
b. Impending constipation
c. An effect of medication
d. Bile obstruction
In which step of the nursing process would the nurse ask a patient if the
medication she administered relieved his pain?
a. Assessment
b. Analysis
c. Planning
d. Evaluation
a. White potatoes
b. Carrots
c. Apricots
d. Egg yolks
a. Maintain the drainage tubing and collection bag level with the patient’s
bladder
b. Irrigate the patient with 1% Neosporin solution three times a daily
c. Clamp the catheter for 1 hour every 4 hours to maintain the bladder’s
elasticity
d. Maintain the drainage tubing and collection bag below bladder
level to facilitate drainage by gravity
The two blood vessels most commonly used for TPN infusion are the:
When transferring a patient from a bed to a chair, the nurse should use
which muscles to avoid back injury?
a. Abdominal muscles
b. Back muscles
c. Leg muscles
d. Upper arm muscles